Individual provider Active NPI

Ralph Depalo, PH.D. LCSW-R

  • Clinical Social Worker
  • New York, NY
National Provider Identifier
1164882866
Registry record updated Feb 24, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
031585 Issued in NY
Practice address
1955 1St Ave Apt 317
New York, NY 10029-6440
Phone
(917) 716-6514
NPI assigned
Feb 24, 2016
Last updated
Feb 24, 2016By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 24, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 031585 NY Primary

Addresses

Primary practice location

1955 1St Ave Apt 317
New York, NY 10029-6440

Mailing address

1955 1St Ave Apt 317
New York, NY 10029-6440

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1456272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1456272000000",
    "number": "1164882866",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1955 1ST AVE APT 317",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100296440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1955 1ST AVE APT 317",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100296440",
            "telephone_number": "917-716-6514"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEPALO",
        "first_name": "RALPH",
        "name_prefix": "Dr.",
        "credential": "PH.D. LCSW-R",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-02-24",
        "last_updated": "2016-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "031585",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.